Stacy Youngblood Oester, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT003387 Issued in GA

Practice address

444 Park West Drive
Grovetown, GA 30813

Phone

(706) 868-6543

Fax

(706) 868-9579

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629138482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 SHADY OAKS DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309077909",
            "telephone_number": "706-860-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 PARK WEST DRIVE",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "30813",
            "telephone_number": "706-868-6543",
            "fax_number": "706-868-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESTER",
        "first_name": "STACY",
        "middle_name": "YOUNGBLOOD",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00969482A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Noriega, MS
• Shareika Norman
• Wesley Norton, PT, DPT
• Cindy Marie O'Neal, M.A., CCC-SLP
• Charity S Odum, LPC016028
• Isaac Chikodi Ogbuagu, DNP PMHNP-BC
• Nancy Okeyo Ssali
• Vermetria Oliver
• Nicole Kay Olliff
• Ryan Olliff

• Pediatric Occupational Therapist in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.